Vivian Simmons MD Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

VIVIAN SIMMONS MD FAMILY PRACTICE

Practice address

169 N 2ND Ave
Hartford, AL 36344-1219

Phone

(334) 588-0408

Fax

(334) 588-0492

NPI assigned

Aug 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vivian Simmons, MDNPI 1093989519

Title

Owner

Phone

(334) 588-0408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vivian Olsen Simmons, M.D.

  • Family Medicine Physician
  • Hartford, AL
  • NPI 1093989519
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565481600000",
    "number": "1366098972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 N 2ND AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363441219",
            "telephone_number": "334-588-0408",
            "fax_number": "334-588-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 N 2ND AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363441219",
            "telephone_number": "334-588-0408",
            "fax_number": "334-588-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN SIMMONS MD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-588-0408",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Pharmacy, Inc.
• Nicole Reeves
• Seniors in Need Inc
• Erin Shelley
• Vivian Olsen Simmons, M.D.
• Susan Henard Walthaus, PT, MS
• Jessica Marie Wilson, OTR/L

• Family Medicine Physician in Hartford, AL
• Providers in Hartford, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.